One of the greatest mediators of risks to an infant with a myelomeningocele is:

Respiratory depression.

Decreased cardiac output.

Infection.

Neurological damage.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Respiratory depression is less common in myelomeningocele unless secondary to severe neurological anomalies. It is not the primary risk mediator in this congenital condition.

Choice B rationale

Decreased cardiac output is not directly associated with myelomeningocele. This condition primarily affects the spinal cord and surrounding tissues rather than cardiovascular function.

Choice C rationale

Infection risk is high due to exposed neural tissue, making it the most significant concern. Infection can lead to meningitis, sepsis, and neurological deterioration if not properly managed.

Choice D rationale

Neurological damage is inherent to myelomeningocele but does not act as an external risk mediator. The focus is on preventing additional risks like infections to improve outcomes.

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Correct Answer is ["A","B","C"]

Explanation

Choice A rationale

Providing family support is crucial as preterm birth can cause significant emotional distress. Education and involvement aid understanding of interventions and foster a supportive environment for both the neonate and family.

Choice B rationale

Strict handwashing and sterile technique prevent infection in preterm neonates, whose immature immune systems make them highly susceptible to sepsis, a leading cause of morbidity in NICUs.

Choice C rationale

Creating a womb-like state through dim lighting, limited noise, and careful positioning supports neurodevelopment and mimics the intrauterine environment, promoting growth and stability.

Choice D rationale

Frequent diaper changes may disturb thermoregulation and disrupt the neonate's limited energy reserves, as preterm infants require an environment that minimizes stress and conserves energy.

A. Tone, Tissue, Trauma, Thrombin. B. Tone, Tissue, TOLAC, Thrombosis. C. Tissue, Tear, Tolerance, Time to search. D. None of the above. E. Postpartum hemorrhage only occurs 24–48 hours after birth.

Correct Answer is A

Explanation

Choice A rationale

Tone refers to uterine atony, the leading cause of postpartum hemorrhage. Tissue refers to retained placental fragments. Trauma includes lacerations or uterine rupture. Thrombin relates to coagulation disorders impacting clotting.

Choice B rationale

TOLAC (Trial of Labor After Cesarean) and thrombosis are unrelated to immediate hemorrhage management. Thrombosis generally involves venous clots, differing from thrombin, which concerns clotting factor deficiencies causing bleeding.

Choice C rationale

Tear and tolerance are non-specific terms lacking relevance to postpartum hemorrhage management. Time to search is impractical and unrelated to immediate intervention for hemorrhage or its causes.

Choice D rationale

"None of the above" is incorrect as the Four Ts (Tone, Tissue, Trauma, Thrombin) specifically address the primary causes of postpartum hemorrhage and are universally accepted in clinical guidelines.

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One of the greatest mediators of risks to an infant with a myelomeningocele is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 23-week gestation neonate weighing 1100 grams in the NICU is having respiratory difficulties. Due to his size, which interventions are appropriate? (Select all that apply)

Correct Answer is ["A","B","C"]

Explanation

What are the four Ts as they relate to postpartum hemorrhage?

Correct Answer is A

Explanation

The perinatal nurse is caring for a woman in the immediate postbirth period. Assessment reveals that the woman is experiencing profuse bleeding. The most likely etiology for the bleeding is:

A baby is in the NICU whose mother was addicted to heroin during the pregnancy. Which of the following nursing actions would be appropriate?

The parents of a 28-week gestation neonate ask the nurse, “Why does he have to be fed through a tube in his mouth? What is the nurse’s best response?”

A mother of a preterm baby is performing skin-to-skin contact in the neonatal nursery. Which of the following responses would the nurse evaluate as a positive neonatal outcome?

A client who is two weeks postpartum calls her obstetrician’s nurse and states that she has had a white discharge for about a week but today she is bleeding and saturating one pad about every 30 minutes. Which of the following is the appropriate response from the nurse?

The initial nursing intervention when caring for a woman experiencing an obstetric hemorrhage associated with uterine atony is to:

The nurse is caring for a couple who are in the labor and delivery unit immediately after the birth of a stillborn baby who exhibited severe birth defects. Which of the following actions by the nurse is appropriate?

When a woman is diagnosed with postpartum depression (PPD) with psychotic features, what is the nurse’s primary concern in planning the client’s care?